ArticleWomen's health issues : official publication of the Jacobs Institute of Women's Health
Implementing a Social Needs Screening and Referral Program for Obstetrics and Gynecology Patients.
Article in Women's health issues : official publication of the Jacobs Institute of Women's Health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundHealth-related social needs (HRSNs) contribute to poor obstetrics and gynecology (OB/GYN) outcomes. Community health worker (CHW) interventions are a promising model for connecting patients with social resources, improving patient outcomes, and advancing health equity; however, limited research exists evaluating such interventions in OB/GYN practices.
objectiveWe aimed to describe the implementation of a novel program for OB/GYN patients that included standardized HRSN screening and referral to CHWs. STUDY
designThis was a retrospective cohort study of patients seen by CHW-supported OB/GYN clinical practices who completed a standardized HRSN screener between June 2022 and May 2024. Patients who were screened and/or self-reported unmet HRSNs were eligible for referral to CHWs by their clinician. We used descriptive statistics to assess RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) outcomes and sociodemographic characteristics of patients.
resultsOf 11,191 OB/GYN patients screened, 1,871 (16.7%) reported unmet HRSNs. There were 944 patients with outreach attempted by CHWs, of whom 696 (73.7%) consented to work with CHWs. Overall, 93.5% of patients were connected or equipped to connect to social services and 92.7% reported improvement or resolution of HRSNs. Referral rates varied by clinical team (median 22.3%, IQR 15.5-30.9%), with a median of 8 days (IQR 3-19 days) between referral and first CHW contact. The median annual program cost per patient was $289.07 (IQR $230.17-$431.91).
conclusionThis HRSN screening and referral program was highly effective in connecting referred OB/GYN patients with unmet HRSNs to relevant social services. Addressing patients' unmet HRSNs may allow patients to better engage in OB/GYN care and improve clinical outcomes.
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